# AMY KELLY COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033600929
- **Authorized official:** MRS. AMY KELLY LMFT (MANAGER)
- **Authorized official phone:** (773) 658-6883

## Contact information

- **Practice address:** 67 E MADISON ST \# 1421, CHICAGO, IL 60603
- **Practice address phone:** (847) 910-2142
- **Mailing address:** 67 E MADISON ST \# 1421, CHICAGO, IL 60603-3014
- **Mailing address phone:** (773) 658-6883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 166.001074 | IL | Yes |

## Other

- **Enumeration date:** 05/25/2018
- **Last updated:** 06/18/2019